WATERFORD RESCUE SQUAD INC; NPI #1629090576

Contact Information

WATERFORD RESCUE SQUAD INC

46 4TH ST
WATERFORD, NY 12188-2327

Phone: 518-237-2473
Fax: 518-235-0084
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for WATERFORD RESCUE SQUAD INC

NPI # 1629090576

LBN Legal business name WATERFORD RESCUE SQUAD INC

Authorized official TRACY WEIR - (COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/23/2006

Last updated 09/17/2020 - About 6 years ago

Identifiers

NY	License #	10789
NY	Medicaid	01470364
	Other	10019558	CDPHP
	Other	9602402	GHI
	Other	590008498	PALMETTO GBA RR MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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